title: Predictors of perceived need for medical care in an inpatient rehabilitation unit: an update.
abstract: Limited awareness of illness, or poor insight, has been associated with poor treatment outcomes and prognoses in both psychiatric and medical populations. We examined predictors of insight in a sample of 403 patients in an inpatient rehabilitation unit at a Midwest Veterans Affairs Medical Center. A multiple regression analysis revealed that age, depression, IQ, and a measure of judgment were significant predictors of acknowledgement of illness. Younger age, higher IQ, better judgment, and depression were associated with better insight. By identifying risk factors for poor insight, these findings have significant clinical implications for healthcare providers.
authors.affiliation: Department of Psychiatry, University of Michigan Health System, 2101 Commonwealth Blvd, Ste C, Ann Arbor, MI 48105, USA. laurenldrag@gmail.com
authors.forename: Lauren L
authors.initials: LL
authors.lastname: Drag
authors.forename: Elvina W
authors.initials: EW
authors.lastname: Chen
authors.forename: Linas A
authors.initials: LA
authors.lastname: Bieliauskas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology; D001364:Awareness; D002908:Chronic Disease / Q000523:psychology* / Q000534:rehabilitation*; D003717:Denial, Psychological; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007600:Judgment; D008297:Male; D008824:Michigan; D008875:Middle Aged; D012047:Rehabilitation Centers; D012803:Sick Role; D012866:Skilled Nursing Facilities; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology*